Organization Active NPI

Thoracic and Vascular Surgeons of Gainesville, P.a.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gainesville, FL
National Provider Identifier
1134546542
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME94028 Issued in FL
Legal business name
THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.
Practice address
1151 NW 64TH Ter
Gainesville, FL 32605-4218
Phone
(352) 331-8570
Fax
(352) 331-9095
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard R Proia, MD
Title
President
Phone
(352) 416-2628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X ME94028 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X ME94028 FL Primary

Addresses

Primary practice location

1151 NW 64TH Ter
Gainesville, FL 32605-4218

Mailing address

PO Box 14655
Gainesville, FL 32604-4655
Phone (352) 331-9095

National Provider Directory

National Provider Directory

Locations

1151 NW 64th Ter
Gainesville, FL 32605
Phone (352) 331-8570

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1134546542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14655",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326044655",
            "telephone_number": "352-331-9095",
            "fax_number": "352-331-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 NW 64TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054218",
            "telephone_number": "352-331-8570",
            "fax_number": "352-331-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORACIC AND VASCULAR SURGEONS OF GAINESVILLE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "PROIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-416-2628",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME94028",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME94028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.